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Procedure to Initiate Facility Accreditation Process Cycle II Process The Cycle II process begins when a facility requests an Accreditation Manual online at: Accreditation Manual Request. The Accreditation Manual contains the Application Form, detailed description of the accreditation review process, Facility Information Booklet, Accreditation Tool (criteria for review), a detailed explanation of the Accreditation Tool, process improvement information and tools, a reference list, and a CD with useful files. Facilities are required to have purchased an Accreditation Manual (or attended a workshop) to be able to submit an application. Facilities can purchase an Accreditation Manual online at: Accreditation Manual Request. It is strongly recommended, but not required, that a facility participate in one of the accreditation preparation education opportunities such as Accreditation Review Workshops and Online Education to obtain valuable detailed information about the accreditation process and review criteria. Participating in a workshop or online education lowers the probability that your application will be returned and expedites your preparation. NOTE: For facilities and systems with multiple campuses. Each individual location (campus) of a facility or system must purcahse its own accreditation manual and submit its own distinct application, along with a separate payment of fee. Each location will have a separate review. Each location will have its own review. We will be happy to schedule the site visits back to back to lower expense and time, if possible. Facility completes and signs Application Form and Agreement, and compiles documentation of yes Items present in the Accreditation Tool. Facility sends in a complete application that contains all of the following application materials:
Incomplete application packets will not be officially received and the facility will be notified. December 1, 2008 is the last day that applications for Cycle II accreditation will be accepted. They must be received by that date. The Society will notify the facility that the Accreditation Application has been received. The onsite review team visits the facility. The facility demonstrates the required macro care processes and meets with the review team. The onsite review team prepares a report for the Accreditation Review Committee. The Accreditation Review Committee issues an official report and finding of accreditation status. If granted, the three year accreditation commences on the date that the Accreditation Review Committee issues its finding. If full accreditation is granted to a provisionally accredited facility, accreditation is for three years from the date of provisional accreditation.
Procedure to Initiate Facility Accreditation Process Cycle III Process The Cycle III process begins when a facility requests an Accreditation Manual online at: Accreditation Manual Request. The Accreditation Manual contains detailed instructions for applying for accreditation via the online application process. The Cycle III application process has changed considerably and is completed almost entirely online. This process will be available early summer 2008. Please monitor our website for announcement of online application process active date.To begin the application process, you log onto the secure online website with an ID and Password that will be provided to you with your accreditation manual. During this application process, you will be required to complete four (4) documents online. Three of the four documents will be completed and submitted entirely online; one (1) document must be completed online, printed out, signed and the signature page submitted. You can save the information entered on each document as you go by clicking the SAVE button. This allows you to log onto the website unlimited times to continue work on the required documents. Once you are completely satisfied with each document, you submit it to the Society by clicking on the SUBMIT button. Do not click on the SUBMIT button until you are confident that you are finished. Once this is done, you will no longer be able to access the forms online for modifications. NOTE: The "submit" function will not be active until January 1, 2009. Until then, you may utilize the online forms to save your work in progress. Required Forms:
Documentation required to be shipped to the Society
Facility ships all items on this checklist in one package by traceable courier to Society. It is strongly recommended, but not required, that a facility participate in one of the accreditation preparation education opportunities such as Accreditation Review Workshops and Online Education to obtain valuable detailed information about the accreditation process and review criteria. Participating in a workshop or online education lowers the probability that your application will be returned and expedites your preparation. Facilities are required to have purchased an Accreditation Manual (or attended a workshop) to be able to submit an application. Facilities can purchase an Accreditation Manual online at: Accreditation Manual Request. For facilities and systems with multiple campuses. Each individual location (campus) of a facility or system must purcahse its own accreditation manual and submit its own distinct application, along with a separate payment of fee. Each location will have a separate review. Each location will have its own review. We will be happy to schedule the site visits back to back to lower expense and time, if possible. The Society will notify the facility that the Accreditation Application has been received. The onsite review team visits the facility. The facility demonstrates the required macro care processes and meets with the review team. The onsite review team prepares a report for the Accreditation Review Committee. The Accreditation Review Committee issues an official report and finding of accreditation status. If granted, the three year accreditation commences on the date that the Accreditation Review Committee issues its finding. If full accreditation is granted to a provisionally accredited facility, accreditation is for three years from the date of provisional accreditation.
Cycle II and Cycle III Dates and Deadlines Early Summer 2008 is the first day you can purchase a Cycle III manual. (specific date to be announced shortly) October 31, 2008 is the last day you can purchase a Cycle II manual. December 1, 2008 is the last day that applications for Cycle II accreditation will be accepted. They must be received by that date. After January 1, 2009, facilities applying for accreditation, must apply for a Cycle III accreditation review. The earliest date that a Cycle III application will be accepted will be January 1, 2009.
Accreditation Designations There are 3 possible accreditation designations for Cycle II & Cycle III: • Accredited Chest Pain Center • Accredited Chest Pain Center with PCI • Provisionally Accredited Chest Pain Center Accredited Chest Pain Center is the designation earned by a healthcare facility, having met the standards for Cycle II Accreditation. Accredited Chest Pain Center with PCI is the designation earned by a healthcare facility that meets the standards for Cycle II Accreditation and uses primary PCI as the facility's reperfusion strategy of first choice for STEMI.
Provisional Accreditation Provisionally Accredited Chest Pain Center is the designation given to a healthcare facility that has met all Tier I standards, has completed a site visit, but some Tier II and Tier III Items remain incomplete (that is, No). A provisionally accredited facility may not call itself an "Accredited Chest Pain Center" or use the seal of accreditation. A provisionally accredited facility may call itself only a "Provisionally Accredited Chest Pain Center". The facility makes a written commitment to implement the recommended changes within a 12 month timeframe. It is the responsibility of the facility to fulfill the requirements and schedule a return site visit, if necessary, within the time allotted. We strongly recommend that the facility submit the application for reevaluation at least 6 months prior to the expiration of their provisional accreditation. There will be additional fees assessed for evaluating a provisional facility for full accreditation. Fees will vary depending on whether a return site visit is warranted. Should provisional accreditation expire prior to the facility earning full accreditation, the facility will need to start over, resubmit an original application for accreditation review and pay the full associated fees to obtain accreditation.
Maintaining Ongoing Accreditation Status To maintain uninterrupted accreditation status, the accredited facility will need to apply for the next Cycle's accreditation review well in advance of its accreditation expiration date. Facility should leave sufficient time prior to the expiration date for the site visit and subsequent review of the site visit team report by the Accreditation Review Committee. We recommend that the facility submit its application at least six (6) months prior to its accreditation expiration date. Some aspects of the review are not entirely in the Society's control, such as setting the site visit date. Therefore, we cannot guarantee when an accreditation status determination will be made. If a facility's re-accreditation date precedes the expiration of its current Cycle accreditation, its subsequent Cycle accreditation will run for a full three years following the expiration of the current accreditation. If reaccredited prior to the current Cycle expiration date, the facility will still receive a full six years of accreditation (three years current plus three years subsequent).
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